Active NPI
Lifetime Value Pharmacy III, Inc.
- Pharmacy
- Santa Ana, CA
National Provider Identifier
1407296742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 51442
- Legal business name
- LIFETIME VALUE PHARMACY III, INC.
- Practice address
- 406 W 17TH St
Santa Ana, CA 92706-3609 - Phone
- (714) 862-2470
- Fax
- (714) 862-2471
- NPI assigned
- Jul 1, 2013
- Last updated
- Feb 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan Linh Le
- Title
- Vice President
- Phone
- (714) 862-2470
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 51442 | CA | Primary |
Addresses
Primary practice location
406 W 17TH St
Santa Ana, CA 92706-3609
Mailing address
406 W 17TH St
Santa Ana, CA 92706-3609
Phone (714) 862-2470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150202001638 | CA | DME Supplier - Pharmacy | 2961727581 | Practice locations: Santa Ana, CA |
| O20180223002478 | CA | Part B Supplier - Pharmacy | 2961727581 | Practice locations: Santa Ana, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Lifetime Value Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
301 E 17th St
Santa Ana, CA 92706
Phone (714) 592-6796
406 W 17th St
Santa Ana, CA 92706
Phone (714) 862-2470
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Westminster, CA
- NPI 1922241603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770076800000",
"number": "1407296742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 W 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063609",
"telephone_number": "714-862-2470",
"fax_number": "714-862-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 W 17TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927063609",
"telephone_number": "714-862-2470",
"fax_number": "714-862-2471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME VALUE PHARMACY III, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-01",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "RYAN",
"authorized_official_middle_name": "LINH",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "714-862-2470",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "CA",
"license": "51442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
- Monica Huyentran Lieu, PA
- Life Generations Healthcare LLC
- Life Health Care Medical Group Inc
- Life Linc Habaco, Inc
- Lifestream Hope & Wellness Center, Inc.
- Jennifer Marie Lightner-Farrell
- Katrina Ligon
- Lili Mirtorabi, D.D.S., a Professional Corporation
- Silvia Isabel Lilly
- Lily Tulan Tran, DDS, a Professional Dental Corpopration (Tustin Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.